Individual provider Active NPI

Jade Fosburgh, PA-C

  • Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1952282949
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
651 Sunflower Ave Unit 538
Santa Ana, CA 92707-5178
Phone
(908) 892-4168
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

651 Sunflower Ave Unit 538
Santa Ana, CA 92707-5178

Mailing address

651 Sunflower Ave Unit 538
Santa Ana, CA 92707-5178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205003197 CA Practitioner - Physician Assistant 5597258640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Marie McNeill, MD, PHD, IncGroup PAC ID 0749323749, 9 clinicians

Practice addresses (Care Compare)

1441 Avocado Ave
Suite 702
Newport Beach, CA 92660-7708
Phone (949) 706-7886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Marie McNeill, MD, PHD, Inc Physician Assistant CurrentSince Sep 25, 2025 Accepting new patients

Locations

1441 Avocado Ave
Ste 702
Newport Beach, CA 92660
Phone (949) 706-7886

27512 Calle Arroyo
San Juan Capistrano, CA 92675
Phone (424) 242-8608

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1952282949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 SUNFLOWER AVE UNIT 538",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 SUNFLOWER AVE UNIT 538",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075178",
            "telephone_number": "908-892-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSBURGH",
        "first_name": "JADE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.